Dermatology input
Coming soon. You'll be able to send skin photos to a Passion Health clinician, who can ask a dermatologist for written advice. The dermatologist advises your clinician and doesn't see you.
No primary care doctor, or can't get in soon? A Passion Health clinician reviews your problem online and, if a specialist is the right next step, writes the referral and sends it to the specialist's office.
Yes, for adults 18 and older in Texas. No primary care doctor, or can't get in soon? A Passion Health clinician reviews your problem online and, if a specialist is the right next step, writes the referral and sends it to the specialist's office. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $59, or use insurance. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have symptoms that are getting worse quickly, or you feel very unwell, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
A specialist referral is a written request from a clinician asking a specialist, such as a dermatologist, cardiologist or orthopedic surgeon, to see you. Many HMO and POS plans pay for a specialist visit only with a referral from your primary care provider, and some specialist offices ask for one whatever your plan. A clinician first has to evaluate your problem; a referral can't be bought without that review.
Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.
About 5 minutes, with photos if they help. Emergency and safety questions come first.
A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.
If treatment is appropriate, a prescription goes to the pharmacy you choose.
A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.
Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.
Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.
Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.
Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.
Your clinician messages you with the plan. If a referral is sent, we tell you when it went out and to which office. If the specialist's office needs more records or a form, message us and we'll send them.
The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.
A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For specialist referral, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.
No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.
It depends on your plan. HMO and POS plans usually pay for a specialist visit only with a referral from your primary care provider. PPO and EPO plans usually don't need one, and Original Medicare generally doesn't either, but Medicare Advantage HMO plans often do. Some specialist offices ask for a referral whatever your plan. Check your plan's member services number and the specialist's office before you book. If you're uninsured, the specialist's office sets its own rules, and you have the right to a Good Faith Estimate of the cost.
Yes. A Texas-licensed Passion Health clinician evaluates your problem online, the same way they would for any visit. If a specialist is the right next step, they write the referral. You don't need to have seen us before.
Only if a Passion Health clinician is your primary care provider with that plan. If your HMO needs that, staff tell you before review and explain how to choose Passion Health as your primary care provider, if we're in network with your plan. You can then go ahead, switch to the flat cash price, or cancel at no charge.
No. The clinician decides whether a specialist is the right next step. Sometimes we can treat the problem ourselves, or you need an exam or tests first. If the clinician doesn't accept your case for Online Care, you get a full refund. The specialist's office also decides whether to accept the referral and when to see you.
We send the referral to the specialist's office you choose. You schedule the visit with that office, because they need your insurance details and your availability. If you don't have a specialist in mind, your clinician can suggest the kind of specialist to look for.
A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Sources: CMS · HHS · Texas Medical Board
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.